首页|带状疱疹后神经痛患者疼痛灾难化现状及其与述情障碍的相关性研究

带状疱疹后神经痛患者疼痛灾难化现状及其与述情障碍的相关性研究

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目的 探讨带状疱疹后神经痛(PHN)患者疼痛灾难化现状及其影响因素,并分析疼痛灾难化与述情障碍的相关性。方法 选取243例PHN患者作为研究对象,采用一般资料调查表、疼痛灾难化量表(PCS)和多伦多述情障碍20个条目量表(TAS-20)进行调查。采用多元线性回归分析探讨疼痛灾难化的影响因素,采用Pearson相关性分析探讨疼痛灾难化与述情障碍的相关性。结果 243例PHN患者的平均PCS得分为(30。04±11。33)分,其中无助维度的条目均分最高,夸大维度的条目均分最低。多元线性回归分析结果显示,年龄、家庭人均月收入、病程和疼痛强度是PHN患者疼痛灾难化的独立影响因素(P<0。05),共同解释了 49。5%的变异量。Pearson相关性分析结果显示,PHN患者的疼痛灾难化与述情障碍呈显著正相关(P<0。01)。结论 PHN患者的疼痛灾难化水平较高,其影响因素包括年龄、病程、疼痛程度和家庭人均月收入,且疼痛灾难化与述情障碍呈显著正相关。
Status of pain catastrophizing and its correlation with alexithymia in patients with postherpetic neuralgia
Objective To explore the status of pain catastrophizing in patients with postherpetic neuralgia(PHN)and its influencing factors,and to analyze the correlation between pain catastroph-izing and alexithymia.Methods A total of 243 PHN patients were recruited as study subjects and surveyed using a general information questionnaire,the Pain Catastrophizing Scale(PCS),and the 20-item Toronto Alexithymia Scale(TAS-20).Multiple linear regression analysis was conducted to explore the influencing factors of pain catastrophizing,and Pearson correlation analysis was used to explore the correlation between pain catastrophizing and alexithymia.Results The mean PCS score of the 243 PHN patients was(30.04±11.33),with the highest mean score for items in the helpless-ness dimension and the lowest for items in the magnification dimension.Multiple linear regression a-nalysis showed that age,monthly family income per capita,disease duration,and pain intensity were independent influencing factors of pain catastrophizing in PHN patients(P<0.05),collectively ex-plaining 49.5%of the variance.Pearson correlation analysis showed a significant positive correlation between pain catastrophizing and alexithymia in PHN patients(P<0.01).Conclusion PHN pa-tients exhibit high levels of pain catastrophizing,which is influenced by age,disease duration,pain intensity,and monthly family income per capita.Furthermore,there is a significant positive correla-tion between pain catastrophizing and alexithymia.

postherpetic neuralgiapain catastrophizingalexithymiadisease durationqual-ity of life

胥海洋、潘寅兵、林征

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南京医科大学第一附属医院麻醉与围术期医学科,江苏南京,210029

南京医科大学第一附属医院护理部,江苏南京,210029

带状疱疹后神经痛 疼痛灾难化 述情障碍 病程 生活质量

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(24)